Medicare procedure market data by CPT code & state

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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

37609 Tying or biopsy of artery on side of skull CPT · Vascular procedure

Classification Procedure › Vascular (CMS RBCS)

First observed 2013 — start of our 12-year window; the code predates it

National scale 511 services ▼ 10.0% YoY · 484 beneficiaries (CY2024, Medicare FFS)

Medicare paid $114K · $223.58 avg / service, national

CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window

Billing groups

Named-group FFS services

336

FFS of Medicare

49%

Services YoY

-10.0%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~643 services

336 observed fee-for-service (52%) · ~307 estimated Medicare Advantage. Scaled from the observed floor by each state’s fee-for-service share (FFS share as of 2024) — scaled estimate — assumes MA utilization mirrors FFS; not an observation. How we scale

Top states — 37609 (CY2024)

PA 77 NY 61 CA 57 MA 48 TX 43

Disclosed Medicare fee-for-service services by billing state; open a bar for that state's ranked market.

Named-group submitted charges

$330K

Named-group allowed amount

$86K

Named-group Medicare payments

$68K

Avg charge / svc

$984

Avg allowed / svc

$256

Avg payment / svc

$203

Average charge per group

$222–508

$508–794

$794–1,080

$1,080–1,366

$1,366–1,652

$1,652–1,937

$1,937–2,223

$2,223+

$222 17 groups · avg submitted charge / service $3,883

Market analyticsPlatform

a taste of the twelve-year trend layer

Market position — where this market sits on volume and growth among all state markets, and its rank.
Worth a look — every state market for this search, ranked by a published score: size, growth, fragmentation, below-expected volume.
Lookalike opportunities — groups billing below what peers of the same specialty, size, and state predict, with the expected figure shown.
National benchmarks — where each group's volume sits nationally and within its specialty.
Market structure — how concentrated this market is, and who owns the volume.
Medicare-wide scaling — the payer split, and this market total scaled to all of Medicare, labeled as an estimate.

Or just look at it: nuclear heart imaging (78452) in Arizona is open as a live example — the full paid view, real data.

View the live example →

Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.

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Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by 37609 services, highest first, CY2024
#	Physician group activate to sort	City activate to sort	St activate to sort	Specialty activate to sort	Providers activate to sort	37609 svcs sorted descending — activate to reverse	Submitted charges activate to sort	Avg charge activate to sort	Medicare $ locked column	Share* activate to sort	Phone
1	UNIVERSITY OF VERMONT MEDICAL CENTER INC	BURLINGTON	VT	PHYSICIAN ASSISTANT	1194	38	$8,428	$222	premium	100.0%	(802) 847-0000
2	TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK	NEW YORK	NY	NURSE PRACTITIONER	2273	32	$69,312	$2,166	premium	52.5%	(212) 305-8559
3	STANFORD HEALTH CARE	STANFORD	CA	DIAGNOSTIC RADIOLOGY	3039	32	$27,047	$845	premium	56.1%	(650) 723-4000
4	LAHEY CLINIC INC	BURLINGTON	MA	NURSE PRACTITIONER	1400	29	$24,197	$834	premium	60.4%	—
5	JEFFERSON UNIVERSITY PHYSICIANS	PHILADELPHIA	PA	DIAGNOSTIC RADIOLOGY	1570	24	$15,720	$655	premium	31.2%	—
6	WILLS EYE OPHTHALMOLOGY CLINIC, INC	PHILADELPHIA	PA	OPHTHALMOLOGY	143	21	$11,000	$524	premium	27.3%	(215) 928-3041
7	MASSACHUSETTS EYE AND EAR ASSOCIATES, INC	BOSTON	MA	OPHTHALMOLOGY	406	19	$16,661	$877	premium	39.6%	(617) 523-7900
8	PITTSBURGH OCULOPLASTIC ASSOCIATES, LTD	PITTSBURGH	PA	OPHTHALMOLOGY	6	18	$17,838	$991	premium	23.4%	(412) 681-4220
9	KANSAS UNIVERSITY PHYSICIANS INC	KANSAS CITY	KS	NURSE PRACTITIONER	1815	17	$8,110	$477	premium	100.0%	(913) 588-1227
10	UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS	DALLAS	TX	PHYSICIAN ASSISTANT	3200	16	$16,880	$1,055	premium	37.2%	(214) 633-5555
11	EYEONE PLC	STAUNTON	VA	OPHTHALMOLOGY	13	15	$5,250	$350	premium	100.0%	(540) 213-7720
12	VASCULAR SURGICAL SPECIALISTS PLLC	WEST CHESTER	PA	VASCULAR SURGERY	6	14	$8,400	$600	premium	18.2%	(610) 430-8272
13	SCRIPPS HEALTH	LA JOLLA	IL	PHYSICIAN ASSISTANT	1431	13	$16,089	$1,238	premium	39.4%	(858) 455-9100
14	CHRISTUS TRINITY CLINIC	TYLER	TX	NURSE PRACTITIONER	1495	13	$13,962	$1,074	premium	30.2%	(903) 606-5560
15	GENERAL SURGERY ASSOCIATES	HUNTSVILLE	AL	GENERAL SURGERY	7	13	$5,291	$407	premium	100.0%	(256) 327-5005
16	HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC	NEPTUNE	NY	NURSE PRACTITIONER	1878	11	$42,713	$3,883	premium	18.0%	(732) 362-3663
17	PARK NICOLLET CLINIC	ST LOUIS PARK	MN	PHYSICIAN ASSISTANT	1754	11	$23,584	$2,144	premium	100.0%	(952) 993-3123

*Share of the state's disclosed Medicare-FFS services for the primary code, counted once per clinician. "St" is the state the volume was billed from: a group appears in each state where its clinicians bill Medicare, with that state's volume and share ("City" is the group's registered location). Group figures sum clinicians affiliated with exactly one group; clinicians in several groups are listed in each group's drill-down but not volume-attributed to any single group, so shares reflect attributable volume. See Methods.

Comparing against an all-payer estimate?

These are exact counts from Medicare fee-for-service claims — roughly a third to half of most procedure markets, depending on payer mix. Modeled all-payer databases project the remainder statistically; we publish the audited floor and label it as such. Same market, different denominator. How the numbers reconcile →